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t� <br /> oP4° " CHECK LIST — DEMOLITION PERMIT <br /> 2• � •.y <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> Y. BUSINESS PHONE: "(209) 468-3121 <br /> INSPECTION REQUEST 24-HOUR RECORDER: (209) 468-3165 <br /> 4Foa`4 <br /> CHECKLIST <br /> THE FOLLOWING INFORMATION AND DOCUMENTATION MUST BE SUBMITTED TO DEVELOPMENT SERVICES Check- <br /> BEFORE YOUR APPLICATION CAN BE PROCESSED. Off <br /> 1. One completed Application. -- --L;n , c; i R 'rzr I/v h,,,, n <br /> 2. Obtain Environmental Health Department Approval on Demolition Permit Application. The final <br /> disposition of the well and septic system must be identified prior to application approval. <br /> / 3l If your demolition project is 1200 sq. ft. or more you must obtain an approved Debris Diversion <br /> /Plan from Public Works Solid Waste Division office at 1810 E.Hazelton Ave., Stockton,468-3066, <br /> PRIOR to obtaining your Demolition Permit. <br /> 4. Obtain Air Pollution Control District Approval on Demolition Permit Application. <br /> 5. It is the applicant's responsibility to notify P.G.&E. and have utilities disconnected. It is also the <br /> applicant's responsibility to insure P.G.&E. notifies the Building Inspection Division that these <br /> utilities have been properly disconnected. Please contact P.G.&E. at(209) 942-71526. <br /> Scope Of Work:. 1 4"d.,in ' 's✓�, {'�:--f% i'�,,L,,uT�(.c L. %$2 o i U-S\-A. t <br /> Project Address: PIL L,�,-�i A - bay"2 <br /> DEPARTMENTS LISTED BELOW MUST GIVE APPROVAL PRIOR TO ISSUING DEMOLITION PERMIT <br /> Environmental Health Department Approval Signature: _ - Date Issued: 5` lA <br /> San Joaquin Valley Unified Air Pollution Control Date Issued: <br /> District Approval Signature <br /> AIR POLLUTION CONTROL DISTRICT ENVIRONMENTAL HEALTH DEPARTMENT <br /> 4800 Enterprise Way 1868 E Hazelton Ave <br /> Modesto, CA Stockton,CA 95205 <br /> (209) 557-6400 (209)468-3420 <br /> HApplication Forms&Handouts\Check lists\Check List Demolition Permit.doc(Revised 1-11-11) <br />